6533b854fe1ef96bd12ade37
RESEARCH PRODUCT
Uncommon presentation of pigmented paraungual basal cell carcinoma on the first toe treated with total excision
Martine BagotMohamad GoldustMohamad GoldustMohamad GoldustAimilios LallasGhasem Rahmatpour RokniJacek C SzepietowskiRegina Fölster-holstTorello Lottisubject
medicine.medical_specialtySkin Neoplasmintegumentary systemUngualbusiness.industryfungiComplete remissionLeft thumbDermatologyGeneral Medicinemedicine.diseaseDermatology030207 dermatology & venereal diseases03 medical and health sciences0302 clinical medicinemedicine.anatomical_structure030220 oncology & carcinogenesisNail (anatomy)medicineMesh graftBasal cell carcinomaPresentation (obstetrics)skin and connective tissue diseasesbusinessdescription
Basal cell carcinomas (BCCs) are the most common types of skin neoplasm. The finger, toe, and nail unit are uncommon and rare locations of BCC. Only a few patients with foot BCC have been reported, and ungual BCC is even less frequent. We present a patient with a BCC on the left first toe. Clinically, it appeared as a brown-colored plaque with an irregular border on the nail fold and dorsum of the left thumb. Histopathological findings were consistent with the pigmented type of BCC. Surgical approach with subsequent full thickness mesh graft led to a complete remission. Follow-up at 10 months revealed a functionally and cosmetically acceptable outcome. The clinical presentation of nail unit BCC is variable, and nonspecific manifestations occur more frequently. Our case stated the necessity of histopathologic examination in ulcerous lesions resistant to topical treatment.
| year | journal | country | edition | language |
|---|---|---|---|---|
| 2020-03-09 | Dermatologic Therapy |